Huliau Summer Program Application

2019 Huliau EcoAdventure Application Form

This form is to apply for our 2019 Huliau EcoAdventure summer program July 23rd-26th open to students entering grades 7-9.
A Maui Huliau Foundation representative will contact you to complete program registration once your application has been reviewed.
First Name *
Last Name *
Gender: *

Male Female
Birthday *

Month Day Year
School Name *
Grade level in 2019-2020 school year *
Legal Guardian Information
Name (First and Last) *
Relationship to Participant *
Email address *
Primary phone number *
What type of contact is this? *

Home Parent's cell phone Work Student's cell phone
The program fee is $175 for all 4 days including snacks and transportation. Need-based scholarships may be available. If available, are you interested in applying for a need-based scholarship? *

Yes No
Student Application Questions

These questions are to be completed by the student who wishes to participate in the program. The answers given on this application do not determine whether or not you will be accepted into the program. However, please answer all the questions as best you can you so that we can get to know you better.
Name 3 of your favorite outdoor places on Maui. *
Please name one thing people can do to help protect Maui's environment. *
Why do you want to participate in this program (or both programs)? *
How did you find out about our program. *

UHMC catalog Maui Family Magazine Newspaper Social Media Huliau Newsletter A friend or family member A public flyer Internet search
I have the permission of my parents or legal guardian to apply for this program. I understand that filing out this form does not guarantee me a spot in the program and that a Maui Huliau Foundation representative will contact my parents using the information given to confirm my enrollment. *

I agree
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2019 Huliau EcoAdventure Application Form

A Maui Huliau Foundation representative will contact you to complete program registration once your application has been reviewed.

Legal Guardian Information

Student Application Questions